Responding to Rising Cancer Caseloads: Family Physician Learning Needs and Challenges in Cancer Care

Sargeant, Joan; Murray, Anne M.; Gray, Jean; Ferrier, Suzanne; Barnard, D; Padmos, Andrew; Loney, E. Hill De

doi:10.1207/s15430154jce2003_9

Cited by 10 publications

(9 citation statements)

References 24 publications

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“…In addition, a large proportion of FPs were dissatisfied with the cancer system in terms of service delivery, which reflects the issue of fragmentation; however, they were generally pleased with the SCC services that their patients had received. Not surprisingly, poor communication between health care providers and sites was another issue that emerged, in agreement with the findings of Sargeant et al, 24 who found gaps in information transfer among FPs, community specialists, and oncologists, which interfered with the provision of timely and compassionate care for patients. The FPs in the current study recommended a centralized body responsible for the planning of SCC in the region to improve coordination of services.…”

Section: Discussionsupporting

confidence: 84%

Who Is Responsible? The Role of Family Physicians in the Provision of Supportive Cancer Care

Brazil

Sussman

Bainbridge

et al. 2010

JOP

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Purpose: Patients living with cancer identify family physicians (FPs; ie, primary care physicians) as a preferred resource for supportive cancer care (SCC), either through direct provision or referral. However, little research exists on the specific role FPs play in addressing these needs. Methods:A mailed survey was sent to all FPs in a health care region in Ontario, Canada, to determine their current and preferred roles in the specific provision of SCC to patients with cancer who have been newly diagnosed or are at the end of life.Results: Completed surveys were received from 84 (64%) of 183 eligible FPs. Most practitioners reported providing for their patients' various SCC needs. However, clear gaps were demonstrated in psychosocial and nutritional counseling and in providing information about SCC services. FPs were satisfied with their current role reported in SCC coordination, although the type of role varied; FPs who were asked about their end-of-life patients tended to see themselves as part of coordinating teams, whereas FPs asked about their recently diagnosed patients were more likely to defer this responsibly to a third party. Conclusion:This study identified gaps in the provision of psychosocial and informational care to patients with cancer that may result in unmet needs. In general, FPs do not see themselves as primarily responsible for coordinating patients' SCC and do not wish to assume this role. Accordingly, models that involve FPs as team members in SCC coordination are more feasible for reducing patient need.

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Section: Discussionsupporting

confidence: 84%

Who Is Responsible? The Role of Family Physicians in the Provision of Supportive Cancer Care

Brazil

Sussman

Bainbridge

et al. 2010

JOP

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“…326 These programmes off er cancer education for practitioners, with one publishing a comprehensive assessment of PCPs' learning needs. 327 Nationally, the CFPC has formed a Cancer Care Program Committee, which sponsors cancer-related CPD sessions at its national meeting.…”

Section: Oncology Training In Medical Educationmentioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

448

450

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The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise-from epidemiologists, psychologists, policy makers, and cancer specialists-has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to eff ect change are outlined. The strengths of primary care-its continuous, coordinated, and comprehensive care for individuals and families-are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.

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Section: Introductionmentioning

confidence: 99%

“…In 2003, Cancer Care Nova Scotia (CCNS) undertook an interprofessional needs assessment to determine learning priorities of community physicians, nurses and pharmacists in caring for patients with cancer and their families (Sargeant et al 2005). In response to this, CCNS initiated an interprofessional consortium involving medicine, nursing and pharmacy to collaborate on the development, implementation and evaluation of an Interprofessional Core Curriculum (ICC) in cancer care.…”

Section: Introductionmentioning

confidence: 99%

Knowledge translation in interprofessional education: what difference does interprofessional education make to practice?

Mann

Sargeant

Hill

2009

Learn Health Soc Care

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Cancer Care Nova Scotia developed an Interprofessional Core Curriculum for Nova Scotia health professionals, using a provincial educational needs assessment of health professionals caring for patients with cancer. This paper reports on the educational outcomes of the Interprofessional Core Curriculum programme, particularly the translation of learning into changes in practice and interprofessional interaction, and factors influencing change. The evaluation was guided by Kirkpatrick's model for assessing educational outcomes and Green and Kreuter's PRECEDE model of factors promoting and impeding change. In total, 411 participants attended the sessions, including nurses (54%), pharmacists (23%), and physicians (11%). We used self‐report questionnaires to assess the transfer of learning into changes in practice and interprofessional interactions. High percentages of participants reported changes in both clinical practice and interprofessional interactions 3 months after the sessions. Frequently reported changes to interprofessional interactions were improved communication, increased confidence and assertiveness in interactions with other health professionals and being more respectful of other professions. Participants identified time and work‐load as major barriers to change as well as lack of micro‐ and macro‐system level support. The most common reported enabler of change was having attended the educational session. Overall, participants were highly supportive of interprofessional education, although when compared to nurses and pharmacists, physicians were less supportive and had proportionately lower attendance.

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Responding to Rising Cancer Caseloads: Family Physician Learning Needs and Challenges in Cancer Care

Abstract: Decreasing cancer rates and improving cancer care are complex issues requiring educational interventions as well as organizational and communications initiatives.

Cited by 10 publications

References 24 publications

Who Is Responsible? The Role of Family Physicians in the Provision of Supportive Cancer Care

Who Is Responsible? The Role of Family Physicians in the Provision of Supportive Cancer Care

The expanding role of primary care in cancer control

Knowledge translation in interprofessional education: what difference does interprofessional education make to practice?

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